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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID A DICICCO PHD
NPI 1669467015
Psychologist - Clinical in San Diego, CA

Active since September 13, 2005
5190 GOVERNOR DR, STE 108, SAN DIEGO, CA 92122(858) 546-1211(858) 546-0411 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David A Dicicco Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID A DICICCO PHD (NPI 1669467015) is an individual clinical provider in San Diego, California, licensed in California (PSY5667) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1669467015
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAVID A DICICCOCredential: PHD
Location Address5190 GOVERNOR DR, STE 108San Diego, CA 92122-2847
Mailing Address5190 Governor Dr, Ste 108San Diego, CA 92122-2847 · (858) 546-1211 · Fax (858) 546-0411
Phone(858) 546-1211
Fax(858) 546-0411
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1669467015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY5667
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5190 GOVERNOR DR, San Diego, CA 92122
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Other Identifiers 1

MedicaidPSY056670CA

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

F VICTORIA DICICCO PHD
Psychologist (Clinical)
5190 GOVERNOR DR, STE 108
SAN DIEGO, CA 92122
San Diego County (858) 452-5800
GORDON M RICK
Clinical Medical Laboratory
5190 GOVERNOR DR, SUITE 106
SAN DIEGO, CA 92122
San Diego County (858) 784-0600
ATHENA TAJ LMFT
Marriage & Family Therapist
5190 GOVERNOR DR, SUITE #104
SAN DIEGO, CA 92122
San Diego County (408) 219-8709
DR. CAROLINE SCOTT DEPOTTEL PHD LCSW
Psychologist (Psychoanalysis)
5190 GOVERNOR DR, STE 102
SAN DIEGO, CA 92122
San Diego County (858) 455-0278
RENEE CINCO PT
Physical Therapist
5190 GOVERNOR DR, SUITE 107
SAN DIEGO, CA 92122
San Diego County (858) 452-0282
DR. LEE JAMES SLATER DDS, MS
Dentist (Oral and Maxillofacial Pathology)
5190 GOVERNOR DR, SUITE 106
SAN DIEGO, CA 92122
San Diego County (858) 784-0600
MS. BRONWYN GROESBECK SPIEGEL M.S, MFT
Marriage & Family Therapist
5190 GOVERNOR DR, SUITE 104
SAN DIEGO, CA 92122
San Diego County (858) 353-5896
PSYCHOLOGICAL PROFESSIONALS INCORPORATED
Psychologist (Clinical)
5190 GOVERNOR DR, SUITE 101
SAN DIEGO, CA 92122
San Diego County (858) 558-3036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Dicicco's NPI number?

The NPI number for David Dicicco is 1669467015. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is David Dicicco located?

David Dicicco practices at 5190 Governor Dr Ste 108, San Diego, CA 92122. The listed phone number is (858) 546-1211.

What is David Dicicco's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for David Dicicco was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.